Round 16 (Allergic Reaction)

Summary: <br> CAUTION: THESE NOTES CONTAIN SPOILERS!!!<br> <br> <br> <br> Case Introduction<br> <br> <br> <br> You are sitting at your computer on an otherwise beautiful Friday afternoon when a mother brings her 16 year old son to the ED with chief complaint of allergic reaction.  <br> <br> <br> <br> Initial Vitals<br> <br> <br> <br> * Temp 98.7* HR 155* RR 28* BP 125/85* O2 99%<br> <br> <br> <br> Critical Actions<br> <br> <br> <br> * Interpret ECG * Interview patient alone (and identify trigger)* Perform vagal maneuver* Administer Adenosine* Discharge patient<br> <br> <br> <br> Final Diagnosis<br> <br> <br> <br> Supraventricular Tachycardia<br> <br> <br> <br> Tips and Tricks<br> <br> <br> <br> * Interview pediatric patients without family members in the patient’s room* Escort family out of patient room during invasive procedures* Ask about / rule out potential triggers (caffeine use, drugs, ischemia, electrolyte abnormalities, etc)<br> <br> <br> <br> Further Reading<br> <br> <br> <br> The REVERT Trial <a href="https://rebelem.com/rebelcast-crashing-asthmatic/#:~:text=Acute%20severe%20asthma%2C%20formerly%20called%20status%20asthmaticus%2C%20is,medical%20emergency%20that%20requires%20immediate%20recognition%20and%20treatment.">(RebelEM)</a><br>